45D2028189 CLIA NUMBER - SOUTHWEST FAMILY CLINIC PC

Laboratory Demographics

  • CLIA Code: 45D2028189
  • Facility Name: SOUTHWEST FAMILY CLINIC PC
  • Facility Address: 3003 SOUTH LOOP W, SUITE 555
    HOUSTON, TX
    ZIP 77054
  • Facility Phone: 281 888-4110
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: E CHINYERE NWANNA
  • NPI Number: 1033516299
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2028189
LAB Type Practitioner Other
Facility Name SOUTHWEST FAMILY CLINIC PC
Street 3003 SOUTH LOOP W, SUITE 555
City HOUSTON
State TX
ZIP 77054
Phone 281 888-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Practitioner Other
Lab Director E CHINYERE NWANNA

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This page was last updated on: 9/29/2025